Basic Information
| Provider Information | |||||||||
| NPI: | 1366646838 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LOH | ||||||||
| FirstName: | CECILIA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3660 PARK SIERRA DR | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | RIVERSIDE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925053081 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9512788870 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3660 PARK SIERRA DR | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | RIVERSIDE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925053081 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9512788870 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2007 | ||||||||
| LastUpdateDate: | 11/14/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 62103 | WI | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | A143602 | CA | Y | Allopathic & Osteopathic Physicians | Surgery | 2086S0105X | A143602 | CA | N | Allopathic & Osteopathic Physicians | Surgery | Surgery of the Hand |
No ID Information.